Presented by Mary Carol G. Pomatto, EdD, APRN

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1 Presented by Mary Carol G. Pomatto, EdD, APRN

2 The 2010 IOM Report, The Future of Nursing: Leading Change, Advancing Health, leads the way.

3 IOM Key Messages: 1. Nurses should practice to full extent of education and training. 2. Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression. 3. Nurses should be full partners in redesigning health care in the U.S. 4. Effective workforce planning and policy making require better data collection and an improved information infrastructure. (IOM Report, 2010)

4 Eight Recommendations: 1. Remove scope-of-practice barriers 2. Expand opportunities for leadership of collaborative improvement efforts. 3. Implement nurse residency programs. 4. Increase to 80% from approximately 50% the number of nurses with a baccalaureate degree.

5 5. By 2020, double the number of nurses having earned a doctorate. 6. Ensure that nurses engage in lifelong learning. 7. Enable nurses to lead change to advance health. 8. Build the infrastructure for capture and analysis of nursing and health care workforce data. (IOM Report, 2010)

6 Robert Wood Johnson Foundation (RWJ) teamed with American Association of Retired Persons (AARP) to create the, Future of Nursing Campaign for Action and the Center to Champion Nursing in America (CCNA).

7 The Vision of the Campaign: All Americans have access to high-quality, patient-centered care in a health care system where nurses contribute as essential partners in achieving success. (Polansky and Gorski, October 28, 2012, AACN Fall Semiannual Meeting) The Structure of the Campaign: Action Coalitions

8 Leadership Practice & Care Education Interprofessional Collaboration Diversity Areas of Focus

9 Kansas Action Coalition Gained Recognition in 2011 Kansas AC Leadership Cynthia Teel (KU and AC Lead), Mary Carol Pomatto (PSU), Betty Smith-Campbell (WSU), Christine Hober (FHSU), Tammy Peterman (University of Ks Hospital), Chris Ruder (University of Ks Hospital), and Jon Teel, Program Manager

10 Workgroup Leads: Practice and Care Diane Ebbert (KU) and Cara Busenhart (KU) Education Mary Carol Pomatto (PSU), Christine Hober (FHSU), Betty Smith-Campbell (WSU), and Linda Moody (Southwestern College) Leadership Debbie Ford (KU), Rachel Pepper (KU), and Janet Pierce (KU)

11 Grant Supporters in Addition to RWJ and AARP Health Care Foundation of Greater Kansas City United Methodist Health Ministry Fund University of Kansas Endowment

12 Kansas AC Partners AARP State Office, Area Health Education Centers, Community Colleges, Foundations, Health Systems, Hospital Association, Nursing Students, Nursing Workforce Center, Physicians, Kansas State Board of Nursing, Kansas State Nurses Association, Kansas Organization of Nurse Leaders, Universities and Colleges, Government entities, and Others

13 RWJ Foundation announced an initiative to support state efforts to transform care through nursing. The funding was available to strengthen 20 Future of Nursing Campaign for Action Coalitions. Provided two-year grants of up to $150,000

14 Goal of grant recipients, Work to implement programs that prepare nurses to lead system change, strengthen nursing education, expand access to care by maximizing the use of nurses, recruit and train a more diverse nursing workforce, and improve quality and coordination of care. (RWJ, March 19, 2013)

15 Kansas submitted a Future of Nursing: State Implementation Program (SIP) grant proposal. Principal author, Dr. Cynthia Teel with Co-Director, Dr. Mary Carol Pomatto Applicant Organization on behalf of KS AC, KU Endowment Partners represent KS universities, community colleges, health care entities, funders and other stakeholders. Project Manager, Ms. Danielle Wolfe.

16 Kansas received full funding for the Future of Nursing: State Implementation Program (SIP), Promoting Nursing Education in Kansas (PNEK): Progress Toward the 80/20 Recommendation. Program goals focused on development of infrastructure to advance IOM, increase proportion of BSN prepared nurses, and increase diversity of the nursing workforce.

17 CCNA, through its study, has found four promising models of academic progression. Models include: a) Shared statewide or regional curriculum. b) Competency-based curricula. c) Community colleges granting BSN degrees on their campuses d) RN-to-MSN programs

18 SHARED STATEWIDE/REGIONAL CURRICULUM Seamless transition Shared resources, curriculum, and/or faculty Articulation agreements May require adjustments in program prerequisites and curricula Key leaders California, New Mexico, North Carolina, Montana, Washington

19 SHARED STATEWIDE/REGIONAL CURRICULUM The New Mexico Nursing Education Consortium Mandated by the New Mexico Legislature 15 public community colleges and universities Standardized statewide nursing curriculum and prerequisites Efficiencies in costs, transfer of credits, enhanced quality

20 COMPETENCY-BASED CURRICULUM Attempt is to standardize outcomes and not curriculum. Key leaders Hawaii, Massachusetts, New Mexico, Texas, Washington Texas Board of Nursing has established Differentiated Essential Competencies with expected outcomes for each of the 3 levels of pre-licensure nursing programs and implications for nursing education and employers.

21 COMPETENCY-BASED CURRICULUM Texas has 4 roles with 25 core competencies falling under the roles identified as member of the profession, provider of patient-centered care, patient safety advocate, and member of the health care team. Knowledge and clinical judgments/behaviors are incorporated as is the scope-of-practice for which the nursing student is being prepared.

22 DEGREES GRANTED ON COMMUNITY COLLEGE CAMPUSES Florida led the way and Washington state is a leader Degree is conferred by the Community College The Community College Baccalaureate Association AACN Position Statement on the Community College Baccalaureate in Nursing CCNA Website, The RN-BSN at a Community College Model by Gorski and Wortock

23 RN-TO-MSN DEGREE PROGRAMS Almost 200 programs in existence Streamlined program taking about 3 years to complete Many programs award BSN and MSN at completion Values experiential levels of nurses Key leaders Massachusetts and Washington

24 RESOURCES Website: Twitter: Facebook: AACN September 11, 2013 Webinar, APIN: Academic-Practice Partnerships in Action, available on the CCNA website until 2016.

25 Questions? Thank you! Light tomorrow with today -Elizabeth Barrett Browning-

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